| NPI | 1205297058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A AUCELLO Owner 860-918-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT CT2192) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT CT2173) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |